Individual
ANGELA K PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHCS
Contact information
Practice address
511 S CASHUA DR, FLORENCE, SC 29501-5410
(843) 667-5017
(843) 667-9950
Mailing address
511 S CASHUA DR, FLORENCE, SC 29501-5410
(843) 667-5017
(843) 667-9950
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
SC
332BC3200X
Customized Equipment (DME)
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4433990001
DMEPOS
SC
Enumeration date
01/08/2009
Last updated
01/08/2009
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